Click here to close now.



Welcome!

News Feed Item

MemorialCare Medical Foundation, the Physician Division of MemorialCare Health System, 1st in Orange County and Greater Long Beach Region to Offer Anthem Blue Cross Enhanced Personal Health Care ACO PPO Program

MemorialCare Medical Group and Greater Newport Physicians Join New Program That Improves Care and Coordination of Chronic Conditions with Strong Focus on Prevention and Added Services to Improve Health of Patients

LOS ANGELES and ORANGE Counties, Calif., April 8, 2014 /PRNewswire-USNewswire/ -- Anthem Blue Cross and MemorialCare Medical Foundation, the physician division of MemorialCare Health System, announced that they are collaborating to offer Anthem's Enhanced Personal Care program in the Orange County and Greater Long Beach region. The initiative is designed to provide comprehensive, coordinated medical care to Anthem PPO members through an Accountable Care Organization (ACO) partnership with MemorialCare Medical Group and Greater Newport Physicians—MemorialCare Medical Foundation's extensive physician networks in the two-county area. Edinger Medical Group, an affiliate of Greater Newport Physicians, is also participating in the ACO.

The new program provides high-quality, evidence-based care focused on improving health outcomes, patient satisfaction and value for health plan members with multiple chronic conditions such as heart disease, cancer, pulmonary and autoimmune diseases, orthopedic disorders and other chronic syndromes. Care is organized by teams of physicians, registered nurses and other practitioners who coordinate medical services based on individualized needs and guide members through the health care system in the most effective and efficient ways possible.

Patients enrolled in a traditional PPO plan typically can choose to receive care from many physicians in different provider networks. Under this new ACO, there will be increased emphasis on coordination among all providers involved with the patient's care, which includes a strong focus on prevention and chronic care management with additional services to improve the health of patients.

"We are pleased to bring Anthem's Enhanced Personal Health Care Program to Orange County and Greater Long Beach," says Mark Schafer, MD, CEO of MemorialCare Medical Foundation. "For decades, our physician organizations have been successful in providing exceptional coordinated care to Southland consumers. Anthem's PPO members can now receive the benefits of care management from our extraordinary physicians, nurses and other clinicians."

Patients diagnosed with chronic conditions that require complex treatments and medical regimens face frequent challenges in navigating an equally complex medical system on their own. The health management approach  long embraced by MemorialCare Health System, its hospitals, physician groups and outpatient centers will help Anthem PPO members achieve better medical outcomes and better health overall. In fact, research shows that coordinated care approaches to address chronic conditions result in healthier, more satisfied and productive individuals as well as significant reductions in hospital admissions, health care costs and missed workdays.

"With more than a dozen ACOs across the state, Anthem's size, stature and footprint allow us to provide coordinated care to members across California from San Diego to the Oregon border," said Mark Morgan, president of Anthem Blue Cross. "MemorialCare has already been a great partner – including as part of our exchange network – and we look forward to partnering with them on a program that's proven to help those with significant chronic diseases get better care."

Treatment for the top 1% of patients with chronic conditions accounts for 25% of all health care spending for the privately insured. Between multiple hospital stays, emergency department visits and prescription drugs, medical spending for this group can quickly add up to hundreds of thousands of dollars. Physicians and medical experts agree that a collaborative and coordinated approach to treat chronic conditions is key to successfully improving the health and wellness of patients while helping address the growing costs associated with treatment.

Anthem's initial ACO partners have shown improvements in many clinical areas, including significant increases in numbers of mammograms performed and appropriate prescribing of antibiotics for treating bronchitis. Research also found participants had improved mental functioning, and many in the program reported that care was "received as soon as needed." These results highlight the value achieved by working collaboratively and are notable as they were achieved for PPO enrollees who have the freedom to see doctors outside the ACO.  In contrast, other high-profile ACO programs are available only to the HMO population, which by definition, already has coordinated care within a limited network. 

"Doctors have long searched for better ways to treat the chronically ill," said Dr. Michael Belman, medical director at Anthem Blue Cross. "Anthem's Enhanced Personal Health Care program is a new solution to that age old problem. I look forward to working in collaboration with MemorialCare's medical directors to help improve care for those with multiple chronic conditions. We both believe this approach will improve the quality of care and contribute to slowing the increases in health care costs."

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association. Also follow us on Twitter at www.twitter.com/healthjoinin, on Facebook at www.facebook.com/HealthJoinIn, or visit our YouTube channel at www.youtube.com/healthjoinin.

MemorialCare Medical Foundation is the physician division of MemorialCare Health System, a not-for-profit integrated health care delivery system with 200 care sites that include six hospitals, medical groups, a health plan, ambulatory surgery centers, imaging facilities, urgent care and numerous outpatient centers in Los Angeles and Orange counties. MemorialCare is one of just 35 global recipients of Gallup Great Workplace Award, recognizing the extraordinary commitment of its 11,000-plus highly engaged employees. More than 2,000 employed and affiliated physicians are part of MemorialCare Medical Foundation's two divisions—MemorialCare Medical Group and Greater Newport Physicians, an Independent Practice Association (IPA). Both have been named top performing physician groups by trade, consumer and patient advocacy organizations. For more information, visit www.memorialcare.org.

SOURCE MemorialCare Health System

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
As enterprises work to take advantage of Big Data technologies, they frequently become distracted by product-level decisions. In most new Big Data builds this approach is completely counter-productive: it presupposes tools that may not be a fit for development teams, forces IT to take on the burden of evaluating and maintaining unfamiliar technology, and represents a major up-front expense. In his session at @BigDataExpo at @ThingsExpo, Andrew Warfield, CTO and Co-Founder of Coho Data, will dis...
SYS-CON Events announced today that Fusion, a leading provider of cloud services, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Fusion, a leading provider of integrated cloud solutions to small, medium and large businesses, is the industry's single source for the cloud. Fusion's advanced, proprietary cloud service platform enables the integration of leading edge solutions in the cloud, including clou...
As someone who has been dedicated to automation and Application Release Automation (ARA) technology for almost six years now, one of the most common questions I get asked regards Platform-as-a-Service (PaaS). Specifically, people want to know whether release automation is still needed when a PaaS is in place, and why. Isn't that what a PaaS provides? A solution to the deployment and runtime challenges of an application? Why would anyone using a PaaS then need an automation engine with workflow ...
With the Apple Watch making its way onto wrists all over the world, it’s only a matter of time before it becomes a staple in the workplace. In fact, Forrester reported that 68 percent of technology and business decision-makers characterize wearables as a top priority for 2015. Recognizing their business value early on, FinancialForce.com was the first to bring ERP to wearables, helping streamline communication across front and back office functions. In his session at @ThingsExpo, Kevin Roberts...
SYS-CON Events announced today that Commvault, a global leader in enterprise data protection and information management, has been named “Bronze Sponsor” of SYS-CON's 18th International Cloud Expo, which will take place on June 7–9, 2016, at the Javits Center in New York City, NY, and the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Commvault is a leading provider of data protection and information management...
Your business relies on your applications and your employees to stay in business. Whether you develop apps or manage business critical apps that help fuel your business, what happens when users experience sluggish performance? You and all technical teams across the organization – application, network, operations, among others, as well as, those outside the organization, like ISPs and third-party providers – are called in to solve the problem.
SYS-CON Events announced today that Alert Logic, Inc., the leading provider of Security-as-a-Service solutions for the cloud, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Alert Logic, Inc., provides Security-as-a-Service for on-premises, cloud, and hybrid infrastructures, delivering deep security insight and continuous protection for customers at a lower cost than traditional security solutions. Ful...
@DevOpsSummit taking place June 7-9, 2016 at Javits Center, New York City, and Nov 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with the 18th International @CloudExpo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. @DevOpsSummit at Cloud Expo New York Call for Papers is now open.
SYS-CON Events announced today that VAI, a leading ERP software provider, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. VAI (Vormittag Associates, Inc.) is a leading independent mid-market ERP software developer renowned for its flexible solutions and ability to automate critical business functions for the distribution, manufacturing, specialty retail and service sectors. An IBM Premier Business Part...
SYS-CON Events announced today that Catchpoint Systems, Inc., a provider of innovative web and infrastructure monitoring solutions, has been named “Silver Sponsor” of SYS-CON's DevOps Summit at 18th Cloud Expo New York, which will take place June 7-9, 2016, at the Javits Center in New York City, NY. Catchpoint is a leading Digital Performance Analytics company that provides unparalleled insight into customer-critical services to help consistently deliver an amazing customer experience. Designed...
Let’s face it, embracing new storage technologies, capabilities and upgrading to new hardware often adds complexity and increases costs. In his session at 18th Cloud Expo, Seth Oxenhorn, Vice President of Business Development & Alliances at FalconStor, will discuss how a truly heterogeneous software-defined storage approach can add value to legacy platforms and heterogeneous environments. The result reduces complexity, significantly lowers cost, and provides IT organizations with improved effi...
SYS-CON Events announced today that Pythian, a global IT services company specializing in helping companies adopt disruptive technologies to optimize revenue-generating systems, has been named “Bronze Sponsor” of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2015 at the Javits Center in New York, New York. Founded in 1997, Pythian is a global IT services company that helps companies compete by adopting disruptive technologies such as cloud, Big Data, advanced analytics, and DevO...
SYS-CON Events announced today that Men & Mice, the leading global provider of DNS, DHCP and IP address management overlay solutions, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. The Men & Mice Suite overlay solution is already known for its powerful application in heterogeneous operating environments, enabling enterprises to scale without fuss. Building on a solid range of diverse platform support,...
Cognitive Computing is becoming the foundation for a new generation of solutions that have the potential to transform business. Unlike traditional approaches to building solutions, a cognitive computing approach allows the data to help determine the way applications are designed. This contrasts with conventional software development that begins with defining logic based on the current way a business operates. In her session at 18th Cloud Expo, Judith S. Hurwitz, President and CEO of Hurwitz & ...
One of the bewildering things about DevOps is integrating the massive toolchain including the dozens of new tools that seem to crop up every year. Part of DevOps is Continuous Delivery and having a complex toolchain can add additional integration and setup to your developer environment. In his session at @DevOpsSummit at 18th Cloud Expo, Miko Matsumura, Chief Marketing Officer of Gradle Inc., will discuss which tools to use in a developer stack, how to provision the toolchain to minimize onboa...